Abstract
Full-thickness eyelid resection offers predictable correction of blepharoptosis in scarred, multioperated eyelids. Two surgical techniques, the lamellar and en bloc techniques, are described in detail. Both techniques rely on removal of tarsus, and/or scar tissue replacing tarsus, in a millimeter-for-millimeter fashion to achieve the desired amount of correction. Results are highly predictable because the scarred, multioperated eyelid loses distensibility and fluidity between tissue planes such that the amount of tissue resection corresponds exactly to the amount of eyelid elevation. Ways to address asymmetric tarsal platform show and contour deformity are also presented.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Hervouet F, Tessier P. Technique chirurgicale du ptosis. Bull Mem Soc Fr Ophtalmol. 1956;239–42.
Beard C. Ptosis. St. Louis, MO: Mosby; 1969. p. 260.
McCord Jr CD. An external minimal ptosis procedure – external tarsoaponeurectomy. Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1975;79:683–6.
Mustarde JC. Correction of ptosis by split level resection. Clin Plast Surg. 1978;5:533–5.
Karesh JW. Multilevel full-thickness eyelid resection for the correction of severe acquired ptosis in the poorly functioning eyelid. Ophthalmic Surg. 1991;22(7):399–405.
Baylis HI, Shorr N. Anterior tarsectomy reoperation for upper eyelid blepharoptosis or contour deformities. Am J Ophthalmol. 1977;84:67–72.
Baylis HI, Axelrod RN, Rosen N. Full thickness eyelid resection for the treatment of undercorrected blepharoptosis and eyelid contour defects. Adv Ophthalmic Plast Reconstr Surg. 1982;1:205–12.
Anderson RL, Beard C. The levator aponeurosis. Attachments and their clinical significance. Arch Ophthalmol. 1977;95(8):1437–41.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Chang, SH., Shorr, N. (2011). Full-Thickness Eyelid Resection for Blepharoptosis Correction. In: Cohen, A., Weinberg, D. (eds) Evaluation and Management of Blepharoptosis. Springer, New York, NY. https://doi.org/10.1007/978-0-387-92855-5_22
Download citation
DOI: https://doi.org/10.1007/978-0-387-92855-5_22
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-92854-8
Online ISBN: 978-0-387-92855-5
eBook Packages: MedicineMedicine (R0)